For individuals who are practicing in an AFC discipline

For individuals who are practicing in an AFC discipline

The Practice Eligibility Route for Areas of focused competence (AFC [diploma]) (PER-AFC) is for individuals in practice who have not completed formal accredited postgraduate medical education in the AFC (diploma) discipline.

PER-AFC is available for the following disciplines:

  • Adult Cardiac Electrophysiology
  • Adult Hepatology
  • Advanced Heart failure and Cardiac Transplantation
  • Aerospace Medicine
  • Brachytherapy
  • Child Maltreatment Pediatrics
  • Clinician Educator
  • Cytopathology
  • Hyperbaric Medicine
  • Sleep Disorder Medicine
  • Solid Organ Transplantation
  • Transfusion Medicine
Please submit an expression of interest to to receive notice when PER-AFC becomes available for your discipline.

Criteria for PER-AFC

  1. Practice for a minimum of two years.
  2. Credentials as outlined in the Competency Training Requirements (CTR) for each discipline e.g. primary and subspecialty certification or MD
  3. Successful completion of the AFC (diploma) discipline PER-AFC portfolio
  4. Successful completion of the Confirmation of Competencies Acquired (CCA) by two physician verification referees
  5. Successful review of the portfolio by two Royal College assessors
  6. Registration in the Royal College Maintenance of Certification (MOC) program

Step 1: Notify the Credentials Unit to set up your eDiploma account

Submit the eDiploma Application Form (PER-AFC) to the Credentials Unit.

The following application forms can be opened with any program. They must be printed and completed by hand.

  • You will be asked to provide the names of two physician referees who can attest to your scope of practice and competencies in the AFC (diploma) discipline.
  • Please notify the referees that you have provided their names as referees.

Criteria for selecting referees:

  • Referees must be a physician.
  • Referees must hold an appointment with a Royal College accredited program relevant to the discipline or hold a position as designated by the AFC committee.
  • Must be able to attest to your scope of practice and competencies for the AFC discipline.

Appointment: A Fellow or a CFPC physician with a university appointment in a division/department with a Royal College accredited program related to the discipline and to the candidate in a way that they would know the candidate practices in the field (i.e. referee sends referrals to the candidate). 

Accredited program: Any accredited program related to the entry routes (Royal College entry routes or Family Medicine programs)

Access to eDiploma.
Because eDiploma is integrated into the Royal College’s MAINPORT application, if a trainee does not have a MAINPORT account a guest account will be created which will include the availability of ePortfolio under the “My Diploma” tab.

The yearly (April 1 – March 31) fee for access to MAINPORT is distinct from the AFC (diploma) credentialing and assessment fee. An invoice will be sent to you once a guest account has been created.

Step 2: Complete the portfolio

  • Upload to your eDiploma evidence showing how each milestone was achieved.
  • Submit the completed portfolio to the Credentials Unit.

Step 3: Assessment of your portfolio by the Royal College.

The Credentials Unit will review your portfolio ensuring that all required evidence has been uploaded correctly to your eDiploma and will then:

  • Require for payment of the PER-AFC Diploma credentialing and assessment fee.
  • Review your portfolio.
  • Email a link for the online Confirmation of Competencies Acquired (CCA) form to your two physician referees.
  • When the CCA is returned, the Credentials Unit will assign two independent assessors.

The assessors will decide if your portfolio satisfies the requirements. If additional information is required:

  • a second portfolio assessment is permitted at no cost.
  • third and subsequent portfolio assessments are subject to a fee

Step 4 Approval of your portfolio:

You will be notified by letter (sent via email) that you have achieved the required competencies of the AFC (diploma) discipline. Shortly thereafter, you will receive an invitation for you to become a Diplomate.

Step 5: Becoming a Royal College Diplomate:

The Diplomate designation (DRCPSC) is granted upon:

  • completion of the portfolio for your AFC (diploma) discipline;
  • successful review of portfolio by two independent assessors;
  • adherence to the Maintenance of Certification (MOC) requirements; and
  • payment of the Diplomate annual dues.

Using the AFC designation Royal College Diplomate

Only candidates who annually maintain their status as a Diplomate may use the “DRCPSC” designation.

  • Fellows of the Royal College who complete training in an AFC (diploma) program may become Diplomates and use the DRCPSC designation following their fellowship designation (e.g. John Smith, MD, FRCP(S)C, DRCPSC).
  • AFC (diploma) candidates who have not been certified by the Royal College may become Diplomates and use the DRCPSC designation.

Note: Candidates who have been certified by the Royal College, but who have not joined the Fellowship, must first become Fellows of the Royal College before they are eligible to hold a Diplomate status.

Please visit the Royal College’s Diplomate webpage or contact the Royal College Services Centre for more information on becoming a Diplomate and details about the use of the DRCPSC designation. Royal College Services Centre staff can be reached at 1-800-461-9598 (Monday–Friday, 8 a.m. to 5 p.m., Eastern Time) or by email